Active NPI
Adam M Weitzman, MD
- Interventional Pain Medicine Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A121616
- Practice address
- 1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867 - Phone
- (310) 543-7779
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | A121616 | CA | Primary |
| Internal Medicine Physician | 207R00000X | MT188153 | PA |
Addresses
Primary practice location
1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Mailing address
1231 Cabrillo Ave Ste 205
Torrance, CA 90501-2867
Phone (310) 543-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- JS Weill Medical College, Cornell University, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003
Phone (310) 543-7779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT188153 | PA | MD | Internal Medicine Physician |
| A121616 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife Physical Medicine Corp | Current | Accepting new patients | |
| Goodlife Surgery Center LLC | Current | Accepting new patients | |
| Goodlife Physical Medicine Corp | Current | Accepting new patients | |
| Oc Surgical Support LLC | Past | Accepting new patients |
Locations
2218 E Maple Ave
El Segundo, CA 90245
Phone (310) 543-7779
1300 S Pacific Coast Hwy
Ste 201
Redondo Beach, CA 90277
Phone (310) 543-7779
2365 Seal Beach Blvd
Ste 101
Seal Beach, CA 90740
Phone (310) 543-7779
1231 Cabrillo Ave
Ste 205
Torrance, CA 90501
Phone (310) 543-7779
1231 Cabrillo Ave
Ste 201A
Torrance, CA 90501
Phone (310) 295-0033
1231 Cabrillo Ave
Ste 203
Torrance, CA 90501
Phone (310) 543-7779
Interoperability endpoints
- adam.weitzman.1@22164.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Redondo Beach, CA
- NPI 1891152781
-
- General Practice Physician
- Torrance, CA
- NPI 1275229692
-
- Ambulatory Surgical Clinic/Center
- Torrance, CA
- NPI 1568944833
-
- General Practice Physician
- Newport Beach, CA
- NPI 1104698638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1396800488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 CABRILLO AVE STE 205",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012867",
"telephone_number": "310-543-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 CABRILLO AVE STE 205",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012867",
"telephone_number": "310-543-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZMAN",
"first_name": "ADAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A121616",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT188153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.